Template 2.16.756.5.30.1.1.10.2.15 - cdach_header

Template Insurance - participant

Id 2.16.756.5.30.1.1.10.2.15 Effective Date 2018‑04‑18

Status Active Version Label 2017

Name cdach_header_Insurance Display Name Insurance - participant

Description Information on a patient's insurance. CDA-CH V2 derivatives, i.e. Swiss exchange formats MAY use this template by either reference or specialisation.

Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.2.15

Label CDA‑CH V2

Classification CDA Header Level Template

Open/Closed Open (other than defined elements are allowed)

Used by / Uses

Used by 0 transactions and 4 templates, Uses 2 templates

Relationship Specialization: template 2.16.840.1.113883.10.12.108 (2005‑09‑07)

Example

<participant typeCode="COV"> <templateId root="2.16.756.5.30.1.1.10.2.15"/> <time> <low value="20170910"/> <high nullFlavor="NASK"/> </time> <associatedEntity classCode="PAYOR"> <id root="2.999" extension="23.253-m"/> <code code="832.10" codeSystem="2.16.756.5.30.2.1.1.11" codeSystemName="ins-laws" displayName="Federal Act on Health Insurance (HIA)"/> <scopingOrganization> <id root="2.51.1.3" extension="7607777777777"/> <name>NousPaieronsTous assurances</name> <telecom nullFlavor="NASK"/> <addr use="WP"> <streetName>rue payant</streetName> <houseNumber>89</houseNumber> <postalCode>8888</postalCode> <city>Guérison-ville</city> <country>CH</country> </addr> </scopingOrganization> </associatedEntity></participant>

Item DT Card Conf Description Label

hl7:participant 0 … * Information on a patient's insurance. CDA‑CH V2

@typeCode cs 1 … 1 F COV

hl7:templateId II 1 … 1 M CDA‑CH V2

@root uid 1 … 1 F 2.16.756.5.30.1.1.10.2.15

hl7:time IVL_TS.CH.TZ 0 … 1 Validity period of the contract. CDA‑CH V2

hl7:low TS.CH.TZ 1 … 1 R Start of the contract. CDA‑CH V2

hl7:high TS.CH.TZ 1 … 1 R End of the contract. CDA‑CH V2

hl7:associatedEntity 1 … 1 R CDA‑CH V2

@classCode cs 1 … 1 F PAYOR

hl7:id II 1 … 1 R The id of the contract ([ge]: Versichertennummer; [fr]: Numéro d'assuré). CDA‑CH V2

@root uid 1 … 1 R The OID of the system that issued the id. OIDs of code systems, which are published in a public OID registry are REQUIRED. Others are NOT ALLOWED.

@extension st 0 … 1 The id itself. It MUST be unique within the issuing system.

hl7:code CE 1 … 1 R The underlying law for the contract. CDA‑CH V2

@nullFlavor cs 0 … 1 F NAV

@code cs 0 … 1 832.10, 832.20, 221.229.1, 833.1, 831.20

@codeSystem oid 0 … 1 F 2.16.756.5.30.2.1.1.11

@codeSystemName st 0 … 1 F ins-laws

@displayName st 0 … 1 Federal Act on Health Insurance (HIA), Federal Act on Accident Insurance (AIA), Federal Act on Insurance Policies (Insurance Policies Act, IPA), Federal Act on Military Insurance (MilIA), Federal Act on Invalidity Insurance (InvIA)

Schematron assert role error

test (@nullFlavor='NAV' and not(@codeSystem or @codeSystemName or @code or @displayName)) or (@codeSystem='2.16.756.5.30.2.1.1.11' and @codeSystemName='ins-laws' and @code and @displayName)

Message Either a valid insurance law or nullFlavor="NAV" is REQUIRED.

hl7:associatedPerson 0 … 1 Contact person at the insurance company.
Contains 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC) CDA‑CH V2

hl7:scopingOrganization 1 … 1 The insurance company.
Contains 2.16.756.5.30.1.1.10.9.26 Organization Compilation with GLN, name, addr and telecom (DYNAMIC) CDA‑CH V2

where [hl7:id [@root='2.51.1.3']]

Template Insurance - participant